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Sanitary Lateral Street Cut Permits 123
a1 J + , TOWN OF SOUTH WINDSOR INSPECTION REPORT PermA No. 7� 96 Contractor VIOLETTE SILVESTER & SONS Loc,?jtio; 0121 PINk SNOB DRIVE Address 65 CHERRY. STREET Type Work NEW SAN LAT EAST HARIFCR'D' CT 06108" ' Pjh0ne No. ( 860 )289-3466 Date Insp Needed -1a�24- .�IC i Daa ns, "w-.-A5_ 'r -------- I Time T nsp Needed � n :asT Inspected By Work in Progress e��ui-_ � Qp � s /S'ir�n)� WSTA - 0/ rtwm OF Ha35k` �fiN1~�!�7 Aln Rlo�'t�� M A k y WKl U qx C t `Input �cxs Date Permit No. 7196 Town of South Windsor, CT Permit Date 10/23/2000 Drain Layer Permit Expiration Date 11/22/2000 Descrip: USER FEE PAID CK#4287 , 4286 Applicant location I Name VIOLETTE SILVESTER & SONS Addr, '0,123 PINE KNOB DRIVE Addr. 65 CHERRY STREET Owner• ;NEISWANGER JAMES M & CARLA G EAST HARTFORD CT b f8 Phone No. (860)289-3466niA The Drain Layer ass �rll hs Ar has`a V:akid license issued by the state and hereby agre es to;' t tote e ,and cc1 t till s set forth in the attached 'Conditions '; A t-j" rv04�k sha-1 I i n a+ r,,b nc with Town of South Windsor standards, ail' OSHA `►"e41 l►1�3If'x And 1` attaached conditions. k Issued By �. 9NA7-7 .__ .. e �� C7G�uf Date Inspected _���Z �o-o =� I ns _. APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Location of proposed work: 123 Pine Knob Drive Lot # Street No. Street Name Premises owned by: James & Carla Neiswanger Name of Firm: Violette Silvester & Sons, Inc. Phone: 860-289-3466 Address of Firm: 65 Cherry Street - East Hartford, CT 06108 TYPE OF WORK: Lay House Drain XXXX ; Repair House Drain Lay Main ; Lay Lateral for Commercial/Industrial Building of acres Connection will be made with SDR 35 6-inch PVC pipe Existing Water Supply: Public Water XXXXX Well Proposed Start Date 1 L-25-200Q Estimated-time for completion 10-26-2000 ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to William R. Silvester Sr. the holder of Drain Layer's License No. 00206440 Only holders of P1 or P7 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit and attached thereto. Applicant has received Town Street Excavation Permit No. and/or ConnDOT Permit No. CBYD No. 20004302103 Signed: Print Name: William R. Silvester Sr. Licensed Drain Layer Date: ao6© Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: t)/ y���' o� BUILDING ADDRESS STREET : SUBDIVISION: NORTH ARROW 1.5 of �Cb✓c C Q i. 1 1 , ! 1 , , 471 , r t t i --- f ` r { , a f i • b ' e 1 3 Vi'o" /c-fi4c- G'i��P G L Q yt S .0 i'lc CONTRACTOR (PRINT) NAME OF CONT CTOR'S SUPERVISOR (PRINT) 4�_ fie- aellm STREET ADDRESS SI )rc �S �. �4 r� d C ,b a-y DATE TOWN STATE ZIP INSPE D bY TOWN C2 ® p -.3 4 DATE TELEPHONE LINUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER